Before Your First Visit:
Please complete the following forms and bring them to your first therapy session.
If you are coming to the Rockville Centre office please come exactly at your scheduled session time. There is no need to arrive early as there is limited waiting room space.
- Client Psychotherapy Intake Form
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Limits of Confidentiality/Therapy Cancellation Policy
If you would like me to coordinate care with another provider (for example, your psychiatrist, primary care physician, etc.), complete this form to authorize release of psychotherapy information:
- Authorization to Disclose Information Form
Client Psychotherapy Intake Form | |
Limits of Confidentiality/Therapy Cancellation Policy | |
Authorization to Disclose Information Form |
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